| NPI | 1588117410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 54328) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 41058) |
| 163W00000X Registered Nurse (Licence: KS 14-130843-081) | |
| 163W00000X Registered Nurse (Licence: MA RN2293625) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR17790800) | |
| 163W00000X Registered Nurse (Licence: OR 201401541RN) | |
| 163W00000X Registered Nurse (Licence: VT 026.0100511) | |
| 163W00000X Registered Nurse (Licence: WA RN60300791) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: ID 41058) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-10-22 |